摘要
目的 分析青少年遭受传统同伴欺凌与自杀相关心理行为的关联,并探讨青少年睡眠质量在该关联中的作用,为预防青少年自杀相关心理行为提供科学依据。方法 2020年10月,采用分层随机整群抽样方法在安徽省宣城市、合肥市和淮北市共选取5 724名初中生,采用《Olweus欺凌受害问卷》《匹兹堡睡眠质量指数量表》和《自杀相关心理行为问卷》进行调查。使用χ^(2)检验比较不同人口统计学特征间青少年遭受传统同伴欺凌和自杀相关心理行为的检出率,采用logistic回归分析模型分析遭受传统同伴欺凌与青少年自杀相关心理行为的关联,并通过分层回归探究青少年睡眠质量对上述关联的调节作用。结果 多因素logistic回归分析模型分析结果显示,遭受传统同伴欺凌和睡眠质量与自杀意念(OR=3.38,95%CI:3.00~3.82)、自杀计划(OR=3.44,95%CI:2.99~3.96)、自杀准备(OR=3.67,95%CI:3.11~4.32)和自杀未遂(OR=4.01,95%CI:3.17~5.09)之间均呈正相关(均P<0.001)。青少年较高的睡眠质量可以缓解遭受传统同伴欺凌与自杀意念(OR=0.64,95%CI:0.47~0.872)、自杀计划(OR=0.50,95%CI:0.37~0.68)、自杀准备(OR=0.48,95%CI:0.34~0.67)和自杀未遂(OR=0.53,95%CI:0.33~0.85)之间的关联(均P<0.001)。结论 青少年遭受传统同伴欺凌与自杀相关心理行为呈正相关,睡眠质量在遭受传统同伴欺凌与青少年自杀相关心理行为之间起调节作用。
Objective To analyze the association between adolescents′traditional peer victimization and suicide-related psychological behaviors,and explore the role of adolescents′sleep quality in this association,so as to provide scientific basis for the prevention of adolescents′suicide-related psychological behaviors.Methods In October 2020,a total of 5724 middle school students in Xuancheng city,Hefei city and Huaibei city of Anhui province were selected by using a stratified random cluster sampling method.The Olweus bullying victimization questionnaire,Pittsburgh Sleep Quality Index scale and self-designed psychological behavior questionnaire were used.Chi-square test was used to compare the detection rates of traditional peer victimization and suicide-related psychological behaviors among adolescents with different demographic characteristics.Logistic regression was used to analyze the association between peer traditional bullying and suicide-related psychological behaviors,and the moderating role of sleep quality on the above association was explored by using logistic regression stratified by sleep disorders.Results Multivariate logistic regression analysis showed that peer victimization and sleep quality were positively correlated with four suicide-related psychological behaviors(OR=3.38-4.01,all P<0.001).The sleep quality of adolescents had a moderating effect on the exposure to traditional peer victimization and four suicide-related psychological behaviors(OR=0.48-0.64,all P<0.001).Conclusions There is a positive correlation between adolescents′exposure to peer traditional victimization and suicide-related psychological behaviors,and sleep quality plays a moderating role between adolescents′exposure to peer traditional victimization and suicide-related psychological behaviors.
作者
叶娟
张郁林
王少杰
李缘
汪耿夫
YE Juan;ZHANG Yuling;WANG Shaojie;LI Yuan;WANG Gengfu(School of Marxism,Anhui Medical University,Hefei 230032,China;Department of Psychiatry,the Second Affiliated Hospital of Anhui Medical University,Hefei 230032,China;Department of Maternal,Child and Adolescent Health,School of Public Health,Anhui Medical University,Key Laboratory of Population Health Across Life Cycle,Ministry of Education of the People′s Republic of China,Anhui Provincial Key Laboratory of Population Health and Aristogenics,Hefei 230032,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2024年第5期510-515,共6页
Chinese Journal of Disease Control & Prevention
基金
国家自然科学基金项目(82204071)。
关键词
传统欺凌
睡眠质量
自杀相关心理行为
青少年
Traditional bullying
Sleep quality
Suicide-related psychological behaviors
Adolescents
